10.21 AFDC-RELATED MEDICAID (Medically Needy, Mandatory For Children and Optional for Parents)
|
|
- Lorin Briggs
- 6 years ago
- Views:
Transcription
1 AFDC-RELATED MEDICAID (Medically Needy, Mandatory For Children and Optional for Parents) NOTE: Spenddown provisions apply. A. BUDGETING METHOD In addition to the information in Section 10.6, some Medically Needy cases may have other considerations, because Medically Needy cases have a fixed Period of Consideration (POC), and the total income for the 6-month POC is used to determine the spenddown amount. Therefore, the Worker must take the following steps when the income is expected to change during the POC. Step 1: Step 2: Determine the specific months which will constitute the POC. Determine the anticipated earned income for each of the 6 months, according to Section Step 3: Determine the anticipated unearned income for each of the 6 months, according to Section Step 4: Add all of the earned income from Step 2 and divide by 6 to determine the average anticipated earned income for the POC. NOTE: When there is no earned income in a month, use $0 as income for that month, but always divide by 6. Step 5: Add all of the unearned income from Step 3 and divide by 6 to determine the average anticipated unearned income for the POC. NOTE: When there is no unearned income in a month, use $0 as income for that month, but always divide by 6. B. INCOME DISREGARDS AND DEDUCTIONS The following disregards and deductions are applied, if applicable. 1. Earned - AFDC Medicaid Standard Work Deduction: A standard deduction of $90 is applied to the earnings of each working person. The amount deducted must not exceed the amount of each person's earned income. 10/
2 - AFDC Medicaid Dependent Care Deduction: When the employed member(s) of the Group must pay for a dependent child or incapacitated adult care to accept or continue employment or training, a deduction is allowed. The amount is allowed as paid, up to the maximum amounts shown below for each dependent. The dependent is not required to be in the AG, Group or Needs Group to allow the deduction. - AGE OF DEPENDENT MAXIMUM MONTHLY DEDUCTION Under Age 2 $200 Age 2 or Over $175 Only payments made from the client s own funds are deductible. Clients with these expenses must be offered a referral to the Child Care Services for help in meeting these expenses. However, there is no penalty for failure to accept these services. 2. Unearned Child Support Disregard: The first $50 of child support is disregarded. This is the only disregard of unearned income. When more than one child in the Needs Group receives child support, the disregard amount is divided by the number of children in the Needs Group who receive support. The resulting amount is deducted from each child's support amount to determine each child's countable child support. EXAMPLE: Four blood-related siblings live in the same home and receive the following amounts of child support: Child A receives $150 per month; Child B receives $200; Child C receives $50; Child D receives $100. The $50 disregard is divided by 4 and each child receives a disregard of $ Child A Child B $ Child Support Disregard $ Countable Child Support $ Child Support Disregard $ Countable Child Support 10/
3 Child C Child D $50.00 Child Support Disregard $37.50 Countable Child Support $ Child Support Disregard $ Countable Child Support 10/ a
4 EXAMPLE: Mrs. E applies for Medicaid for her four grandchildren who live with her. Jane and John are blood-related siblings and are the children of Mrs. E's daughter, Samantha. They receive $200 child support. Joan and Jim are blood-related siblings and are the children of Mrs. E's other daughter, Virginia. Joan receives $150 child support and Jim receives none. Because all of Mrs. E's grandchildren are not bloodrelated siblings, 2 Needs Groups are established; one for Jane and John; one for Joan and Jim. Each Needs Group then receives the $50 disregard. The countable child support for each child is as follows: Jane and John The child support amount of $200 is divided between the children and each child's amount is $100. The $50 disregard is divided between the two children as they are both in the Needs Group and each receives a $25 disregard. $100 Child Support per Child - 25 Disregard $ 75 Countable Child Support Joan Because Jim receives no child support and Joan is the only child in the Needs Group who receives child support, she receives the entire $50 disregard. $150 Child Support - 50 Disregard $100 Countable Child Support C. DETERMINING ELIGIBILITY Countable income is determined by applying the income disregards and deductions in item A above to the non-excluded gross income of the Group. To determine who is included in the Group, see Chapter 9. The remaining income is then compared to the MNIL for the appropriate Needs Group size. An AFDC-Related Medicaid application is not denied solely on the basis of excess income. Instead, the spenddown provision is applied. The following steps are used to determine the countable income of the Group. 10/
5 Step 1: Step 2: Step 3: Step 4: Step 5: Determine the Group's non-excluded gross earned income. Do not count the income of a child's sibling or count any child's income for his parent(s). Subtract the AFDC Medicaid Standard Work Deduction for each working person. Subtract the AFDC Medicaid Dependent Care Deduction up to the maximum allowable amounts. The maximum amounts of the deduction are determined as for AFDC Medicaid. See Section Add the non-excluded gross unearned income of the Group to the amount remaining from Step 3. This includes the child's countable child support. Do not count the income of a child's sibling or count any child's income for his parent(s). Determine the appropriate MNIL for the Needs Group. Step 6: Compare the result of Step 4 to the amount in Step 5. If the net countable monthly income is equal to or less than the appropriate MNIL, the AG is eligible without a spenddown. If it is in excess of the appropriate MNIL, the AG must meet a spenddown. See Spenddown in Special Situations Section below. D. SPECIAL SITUATIONS 1. Self-Employment When the AG member or sanctioned individual(s) receives selfemployment income, the instructions below must be used to arrive at the gross profit which is used to calculate countable income. This is determined by subtracting allowable business expenses from the gross income. a. Determining Gross The method used to determine monthly gross income from selfemployment varies with the nature of the enterprise. It is necessary to determine which of the following types of self-employment applies to the client's situation. Once the pattern of self-employment is determined, this is used to determine how the income is counted. (1) Persons Receiving Regular 10/
6 These persons receive income on a more or less regular schedule (weekly, monthly, etc.), or receive a specific amount from the business each week or month and/or receive the balance of profit from the enterprise at the end of the business year. The income of people in this situation is converted to a monthly amount according to item A above. Business expenses may be computed on a monthly basis or prorated over a 12-month period, at the client's option. (2) Persons Receiving Irregular Many persons receive income from short-term seasonal selfemployment. This seasonal enterprise may be the major source of income for the year, or the income may be only for the period of time the person is actually engaged in this enterprise, with other sources of income being available during the remainder of the year. Persons who are seasonally self-employed include vendors of seasonal commodities (produce, Christmas trees, etc.), or other seasonal farmers. Cash-crop farmers and other persons similarly selfemployed receive their annual income from from selfemployment in a short period of time and budget their money to meet their living expenses for the next 12 months. Included in this category are some seasonal farmers, when the seasonal income is the primary support for the year. Since the income is seasonal, it must be averaged over the period of time it is intended to cover, even if it is the major source of income for the year. However, if the averaged amount of past income does not accurately reflect the anticipated monthly circumstances because of a substantial increase or decrease in business, the income is calculated based on anticipated earnings. Business expenses may be computed on a monthly basis or prorated over a 12-month period, at the client's option. (3) New Business 10/ a
7 AG s with a new business that has been in existence less than a year will have their income averaged over the amount of time the business has been in operation. From this, the monthly amount is projected for the coming year. However, if the averaged amount of past income does not accurately reflect the anticipated monthly circumstances because of a substantial increase or decrease in business, the income is calculated based on anticipated earnings. Incurred business expenses are also averaged over the amount of time the business has been in operation. However, if the averaged amount of past expenses does not accurately reflect the anticipated monthly circumstances because of a substantial increase or decrease in business, the expenses are calculated based on anticipated costs. b. Determining Gross Profit Gross Profit from self-employment is the income remaining after deducting any identifiable costs of doing business from the gross income. (1) Deductions Examples of allowable deductions are: - Employee labor costs - Stock and supplies - Raw material - Seed - Fertilizers - Repair and maintenance of machinery and/or property - Cost of rental space used for conducting the business - Insurance premiums and taxes paid on the business and business property - Interest and taxes, but not the principal, paid on installment payments to purchase capitol assets such as real estate, machinery, equipment, etc. 10/ b
8 - Interest and taxes on the client's residence which is used in part to produce income. This is applicable only if the costs on the portion of the home used in the self-employment enterprise can be identified separately. - Advertising costs - Utilities - Office expenses (stamps, stationery, etc.) - Legal costs Do not deduct the following: - Money paid to purchase capital assets, such as real estate, machinery, equipment, etc. Interest is deducted, if paid in installments. EXAMPLE: The cost of purchasing a new furnace is a capital expenditure and only the interest on installment payments is deducted. A repair of a furnace is a routine repair and is deducted in its entirety. - Federal, State or local income taxes - Money set aside for retirement - Travel from home to a fixed place of business and return - Depreciation - Principal of real estate mortgages on income-producing property - Amounts claimed as a net loss (2) Rental Deductions In addition to the deductions in item (1) above, the following expenses are deducted from rental income: - Utility bills paid for tenants - Property tax and insurance on the rental property 10/ c
9 - Repair and upkeep of the property - Interest, but not the principal, on necessary purchases made in installments, such as the purchase of a new furnace 2. Annual Contract Employment This section applies to any person employed under a yearly contract, such as school employees, including bus drivers, cooks, janitors, aids and professional staff. These individuals have their annual income prorated over a 12-month period. Additional earnings, such as for summer work, are added to the prorated amount during the time additional earnings are received. Although a person may not have signed a new annual contract, he is still considered employed under an annual contract when the contract is automatically renewable, or when he has implied renewal rights. Implied renewal rights are most commonly associated with school contracts. NOTE: This section does not apply during strike and disaster situations when the other party to the contract cannot fulfill it; or, when labor disputes interrupt the flow of earnings specified in the contract. 3. Educational All student financial assistance, funded in whole or in part under Title IV of the Higher Education Act or the Bureau of Indian Affairs, is excluded in its entirety. Treatment of educational income and expenses depends upon the source of income and the intended use. a. Sources Which are Totally Excluded Funds from the following sources are totally excluded: - Federal Pell Grants - Federal Supplemental Educational Opportunity Grants (FSEOG) 10/ d
10 - Guaranteed Student Loans, including William D. Ford Federal Direct Loan Program and Federal Direct PLUS loans and Supplemental Loans for Students, Federal Family Education Loan (FFEL) Program - Leveraging Educational Assistance Partnership (LEAP) and Special Leveraging Educational Assistance Partnership (SLEAP) Programs, formerly known as State Student Incentive Grants - Federal Perkins Loans - Federal Stafford Loans - Federal Work-Study. See item b below. - Robert C. Byrd Honors Scholarship - Loans for educational expenses which meet the definition of a bona fide loan, as found in Section 10.1, Definitions. b. College Work Study (CWS) Program received from CWS Programs, funded in whole or in part under Title IV of the Higher Education Act, is excluded. received from CWS Programs not funded under Title IV that is needed for the educational program or course of study is excluded. Any portion specifically earmarked for shelter, utilities, clothing or incidentals not needed for the educational program or the course of study is income. Because income is usually paid to the student on the basis of work performed, not in one lump sum, its treatment is different than that of other educational benefits. Treatment of this income depends upon whether or not the amount to be earned in one semester is known at the beginning of the semester. (1) Earnings Known At Beginning of Semester When the amount of the earnings, or maximum amount which can be earned, is known at the beginning of the semester, the Worker prorates any portion, specifically earmarked for shelter, utilities, food, clothing or incidentals, not needed for the program or course of study, over the period of time it is intended to cover. 10/ e
11 (2) Earnings Unknown At Beginning of Semester c. Other Sources When the amount of the earnings is not known at the beginning of the semester, any portion of the CWS income specifically earmarked for shelter, utilities, food, clothing or incidentals, not needed for the program or course of study, is treated as earned income and converted to a monthly amount according to item A. All earned income disregards and deductions apply. Educational funds from any source, other than those listed in items a and b above, are totally excluded as being earmarked for educational purposes, unless any portion of the funds is specifically earmarked for shelter, utilities, food, clothing or incidentals not needed for the program or course of study. Any of the funds specifically earmarked for shelter, utilities, food, clothing or incidentals, not needed for the program or course of study, are counted as unearned income and prorated over the period of time they are intended to cover. 10/ f
12 4. Deeming NOTE: When determining income to be deemed to an eligible client, public assistance maintenance income, as defined by SSA, not by DFA, of the spouse or parent from whom income is deemed is excluded in the deeming process, i.e., it is not deemed. In addition, any income which was considered (counted or excluded) in computing the amount of such income maintenance payments is also excluded. These income maintenance payments are: - WV WORKS - SSI - Needs-based payments resulting from the Refugee Act of Payments from the Disaster Relief and Emergency Assistance Act - Payments from general assistance programs of the Bureau of Indian Affairs - State or local government assistance programs based on need. EITC payments and tax refunds are not considered to be based on need. - Payments from the U.S. Department of Veterans Affairs programs, when such payments are based on need. VA pensions are based on need, but not payment made for service-connected disabilities. a. Financial Responsibility In order to deem income correctly, it is necessary to determine who in the home is financially responsible for whom. The Social Security Act limits financial responsibility for Medicaid purposes to legal spouses and legal parents. Persons related to or associated with a dependent child as a stepparent, grandparent, alien sponsor, legal guardian, or in any way other than as a parent, are not financially responsible for the child. When income is deemed to a parent from a stepparent, no portion of the amount deemed to the parent is deemed to the children. Only if there is financial responsibility from one person to another or others, can that person's income be deemed. 11/
13 Legal spouses are defined in Section Legal parents are natural or adoptive parents. b. General Deeming Instructions Deeming is most often accomplished by including the income of financially responsible persons in the total income of the Group and applying the AFDC Medicaid disregards and deductions to that income. However, some case situations require a different method of deeming, as described in Deeming When There Is A Stepparent, Caretaker, Relative Other Than A Parent Or A Major Parent below. c. Deeming When There Is No Stepparent, Caretaker Relative Other Than a Parent or Major Parent (1) When No Dependent Child Has The non-excluded income of the parent(s) is the only income counted. This income is then subject to the AFDC Medicaid disregards and deductions, unless the parent, or one of the parents, is an SSI-Related Medicaid recipient. In this case, the SSI-Related Medicaid disregards and deductions are applied to his income and the remainder is added to the income of the other parent, after the AFDC Medicaid disregards and deductions have been applied to the other parent's income. (2) When At Least One Dependent Child Has For those children in the home with no income, the procedure in item (1) above is followed. For children in the home with income, add together the nonexcluded income of the child and the parent(s), unless one of the parents is an SSI-Related Medicaid recipient. In this case, the SSI-Related Medicaid disregards and deductions are applied to his income and the remainder is added to the income of the other parent and the child, after the AFDC Medicaid disregards and deductions have been applied to the income of the other parent and child. d. Deeming When There Is A Stepparent, Caretaker Relative Other Than A Parent Or A Major Parent 10/
14 NOTE: Throughout this item, if any of the individuals from whom income is deemed is an SSI-Related Medicaid recipient, the SSI- Related Medicaid income exclusions, disregards and deductions are applied to his own income only and are applied prior to deeming the income, even when he is a parent of the child. The deemed income is added to that of other members of the Group after the AFDC Medicaid disregards and deductions have been applied to the their income. The following procedures are used to deem income when there is a stepparent, caretaker relative other than a parent or a Major Parent (MP). (1) When There Is a Stepparent The stepparent's income is deemed only to the parent. When deeming from the parent to the children, none of the amount deemed from the stepparent is deemed to the children. (a) Determining the Used For The Parent The parent's non-excluded income is added to the stepparent's non-excluded income. (a) Determining the Child's Countable The child's own non-excluded income is added to the parent's own non-excluded income. Do not include any of the amount counted for the parent from the stepparent. (2) When There Is A Caretaker Relative Other Than A Parent (a) Determining the Used For The Caretaker Relative Other Than A Parent The caretaker relative's own non-excluded income is added to his spouse's non-excluded income. (a) Determining the Used for the Child The child's own non-excluded income is the only income counted for the child. 10/
15 (3) When There Is A Minor Parent Living With A Major Parent NOTE: A minor parent (mp) is a parent under the age of 18, regardless of completion of school or training. Cases involving a mp require special consideration, only because a variable, not present in other AG's, exists, i.e., there are two parental groups in the family. The first parental unit is the MP(s), and the second is the mp. Any of the following combinations of eligible people are possible. - mp + child - MP + mp + child - MP + mp See Chapter 9 to determine the appropriate AG. However, no matter who is included, the MP(s) is still financially responsible for the mp, and the mp is financially responsible for the child. (a) When the AG Includes the mp and the Child (i) Determining the Used for the mp The mp's non-excluded income is added to the MP(s) non-excluded income. (ii) Determining the Used for the Child The child's own non-excluded income is added to the mp's own non-excluded income. When deeming from the mp, none of the income deemed to the mp from the MP(s) is counted for the child. (a) When the AG Includes the MP(s), mp and Child (i) Determining the Used for the MP(s) - If there is only one MP in the home, the MP's own non-excluded income is added to that of the MP's spouse, who is not a parent of the mp, to determine eligibility. 3/
16 - If there are two MP's in the home, their non-excluded income is added together. (ii) Determining the Used For the mp The mp's own non-excluded income is added to that of the MP(s). When income has been deemed to the MP from the MP's spouse, who is not a parent of the mp, none of the amount deemed to the MP is counted for the mp. (iii) Determining the Used For the Child The child's own non-excluded income is added to the mp's own non-excluded income. None of the amount deemed from the MP(s) to the mp is counted for the child. (a) When the AG Includes Only the MP(s) and the mp (i) Determining the Used For the MP(s) See item (b), (i) above. (ii) Determining the Used For the mp The mp's own non-excluded income is added to that of the MP(s). When income has been deemed to the MP from the MP's spouse, who is not a parent of the mp, none of the amount deemed to the MP is counted for the mp. 5. Strikers If any member of the AG is a striker, no member of the AG is eligible for AFDC-Related Medicaid. Eligibility under other coverage groups must be explored. 6. Irregular Regardless of the source, irregular income is not counted because it cannot be anticipated. 7. Lump Sum Payments Lump sum payments are counted as unearned income in the month received. 3/
17 8. Withheld a. From Earned Earnings withheld to repay an advance payment are disregarded, if they were counted in the month received. If not counted in the month received, the withheld earnings are considered income. No other earned income is excluded from consideration just because it is withheld by the employer. b. From Unearned All withheld unearned income is counted, unless an amount is being withheld to repay income that was previously used to determine eligibility for AFDC-Related Medicaid. 9. Funds Diverted To A PASS Funds diverted to a PASS account are treated as earned or unearned income, depending on the source. 10. Unstated There is no provision for counting unstated income. 11. Spenddown To receive a Medicaid card, the Group's monthly countable income must not exceed the amount of the MNIL. If the income exceeds the MNIL, the AG has an opportunity to spend the income down to the MNIL by incurring medical expenses. These expenses are subtracted from the income for the 6-month POC, until the income is at or below the MNIL for the Needs Group size. The spenddown process applies only to AFDC-Related and SSI-Related Medicaid. 10/ =
18 a. Procedures The Worker must determine the amount of the client's spenddown at the time of application based on information provided by the client. The spenddown amount may have to be revised if the verified income amount differs from the client's statement. He must also explain the spenddown process to the client. An DFA-6A is attached to the DFA-6 which notifies the client that an eligibility decision cannot be made until he meets his spenddown by providing proof of medical expenses. The RAPIDS verification checklist includes the DFA-6A information when RAPIDS detects a spenddown AG. The verification checklist or DFA-6 must also contain any other information the client must supply in order to determine eligibility. Once the client presents sufficient medical expenses to meet his spenddown obligation and all other Medicaid eligibility requirements are met, appropriate RAPIDS procedures are followed to approve the AG and enter the spenddown. 10/
19 NOTE: Although eligibility begins on the date of service of the medical bills which bring the spenddown amount to $0, expenses incurred on that date which are used to meet the spenddown, as indicated on Screen AGTM, are not paid by Medicaid. NOTE: An AG which meets a spenddown remains eligible until the end of the POC in the following situations, regardless of whether or not the individuals is an AG member. - A member(s) of the Group experiences an increase in income; or - An individual(s) with income is added to the Group; or - An individual(s) is removed from the Needs Group The following procedures are required to accomplish the spenddown process. - The Worker prepares the verification checklist or DFA-6, attaches an DFA-6A and gives them to the client or mails them. If the client indicates he needs help to understand the procedure for meeting his spenddown, the Worker provides all help needed. In no instance is the client to be denied Medicaid because he is physically, mentally or emotionally unable to verify his medical expenses. - The client is requested to provide proof of his medical expenses, date incurred, type of expense and amount and to submit them to the Worker by the application processing deadline. - When the bills or verification are received, the Worker reviews them to determine: The expenses were incurred, they are not payable by a third party, and the client will not be reimbursed by a third party. 10/
20 The individual(s) who received the medical service is one of the people described in Whose Medical Expenses Are Used below. The expenses are for medical services and are appropriate to use to meet a spenddown. See Allowable Spenddown Expenses below. - The Worker must enter the pertinent information about expenses received from the client on the appropriate system screen. The date of service The provider of the service The total amount of the bill The third-party liability amount - Medical Processing in BMS accesses the appropriate system screen to determine the date on which spenddown is met. Additional electronic notification to BMS is required only when a change is necessary to add additional medical expenses after the spenddown is met and will result in an earlier POE. The client's eligibility begins the day the amount of incurred medical expenses at least equals his spenddown amount. NOTE: Although eligibility begins on the date of service of the medical bills which bring the spenddown amount to $0, expenses incurred on that date which are used to meet the spenddown, as indicated on the appropriate system screen, are not paid by Medicaid. - If the client does not submit sufficient medical bills by the application processing deadline, the application is denied. The application is automatically denied by RAPIDS when the applicant indicates there are no medical bills or anticipated medical expenses in the 30-day application period which may be used to meet the spenddown for the Medicaid AG member(s). This is indicated by the Worker on the appropriate system screen. 10/ a
21 b. Whose Medical Expenses Are Used The medical bills of the following persons who live with the AG member(s) are used to meet the spenddown. There is no limit on the amount of one individual's bills which can be used to meet another individual's spenddown. NOTE: The past medical bills of any of the individuals listed below which were incurred while the individual lived with an AG member(s) may be used for spenddown, even if the individual no longer lives with the AG member, is deceased or is divorced from the AG member. The AG member must be responsible for the bill at the time it was incurred and remain responsible for payment. (1) Meeting the Spenddown of Adults Use the bills of: - The adult(s) who is the parent(s) or other caretaker relative - The spouse of the parent or other caretaker relative - The dependent children of the parent or other caretaker relative - The dependent children of the spouse of the parent or other caretaker relative - The blood-related siblings of the children of the parent, of the children of the other caretaker relative, of the children of the spouse of the parent and of the children of the spouse of the other caretaker relative (2) Meeting the Spenddown of Children Use the bills of: - The child - The parent(s). Do not use the bills of the caretaker relative other than a parent. - The stepparent 3/
22 - The blood-related siblings of the child - The dependent children of the stepparent and their blood-related siblings in the home. Because the individuals whose medical expenses are used to meet a spenddown may be in separate AG's, the same medical bill is used to meet the spenddown in each AG containing one of the persons identified above. EXAMPLE: A mother and her two children apply for Medicaid. Also in the home is the mother's husband, who is the stepfather of the children. His medical bills are used to meet the spenddown of his wife and of both children. EXAMPLE: A mother applies for Medicaid for herself and her two children. Also in the home are her husband and his two children, who are also applying for Medicaid. The medical bills of the husband and his children are used to meet the spenddowns of his wife and stepchildren as well as his own and his children's spenddown. EXAMPLE: Same situation as above, except that the husband and his children are not applying for Medicaid. The medical bills of the husband and his children are used to meet the spenddown of the mother and her children. EXAMPLE: A man and woman live together, but are not married. They each have two children from previous marriages, and all are applying for Medicaid. The medical bills of the woman and her two children are used to meet their own spenddowns, but not those of the man and his two children. The medical bills of the man and his two children are used to meet their own spenddowns, but not those of the woman and her two children. c. Allowable Spenddown Expenses The following medical expenses, which are not subject to payment by a third-party, and for which the client will not be reimbursed, are used to reduce or eliminate the spenddown. - A current payment on or the unpaid balance of an old bill, incurred outside the current POC, is used as long as that portion of the bill was not used in a previous POC during 3/
23 which the client became eligible. No payment or part of a bill which is used to make a client eligible may be used again. Old unpaid bills, which are being collected by an agency other than the medical provider, may be used when the expense is still owed to the provider. If the expense has been written off by the provider, it is no longer considered the client's obligation, and is, therefore, not an allowable spenddown expense. Medical bills that were previously submitted, but were not sufficient to meet the spenddown, are used again in a new POC. However, when any old or new bill is used and the spenddown is met, those same bills must not be used again in a new POC. When only a portion of the old bill, incurred outside the current POC, is used to meet spenddown, any remaining portion of the bill for which the client is still liable may be used to meet spenddown in a new POC. In addition, when the client submits an old bill and then withdraws his application, the old bill may be used again if he reapplies. - Health insurance premiums, including Medicare or the enrollment fee for a Medicare-approved drug discount card - Medicare co-insurance, deductibles and enrollment fees - Necessary medical or remedial care expenses. This includes, but is not limited to: Office visits to a physician Hospital services, inpatient and outpatient Emergency room services Prescriptions Over-the-counter drugs prescribed by a physician Eye examinations Eye glasses Dental services Therapy prescribed by a physician Chiropractic services Prosthetic devices Durable medical equipment prescribed by a physician Rental of sickroom supplies Cost of in-home care Services of other licensed practitioners of the healing arts, such as podiatry. 11/
24 Do not deduct any expenses which are included in a package of services, prior to the date services are rendered, such as, charges for prenatal care and delivery services or orthodontia. - Necessary medical and remedial services which are covered services under Medicaid. - Expenses for personal care services defined as: services provided in a client's home which are prescribed by a physician, delivered in accordance with a plan of treatment and provided by a qualified person who is not a member of the client's family, under the supervision of a registered nurse. For these purposes, home is defined as the client's full time residence, but does not include a hospital, nursing facility, intermediate care facility or any other setting in which nursing services are, or could be, made available. Family member for these purposes is defined as: A spouse A parent or stepparent of a minor child A parent of an adult child An adopted child or adoptive parent of a recipient An adult sibling or step-sibling of a minor child An adult sibling residing with an adult sibling recipient An adult child of an adult recipient. The services must fall into any of the following general groups. Each general group shown below is further defined by examples, but is not limited to only the examples shown. Personal Hygiene/Grooming: care of hair, nails, teeth, mouth; shaving; bathing; toilet assistance; dressing; laundry, when related to incontinence. Non-Technical Physical Assistance: routine bodily functions; routine skin care, including application of non-prescription skin care products; change of simple dressings; repositioning or transferring into and out of bed, on and off seats; walking, with or without equipment; assist in administration of medication; following directions of a professional for use of medical supplies. 11/
25 Nutritional Support: meal preparation; feeding; assisting with special nutritional needs, including preparation of special formulas, prescribed feedings or special diets. Environmental: housecleaning, dusting and vacuuming; laundry; ironing and mending; making and changing beds; dishwashing; food shopping; payment of bills; essential errands; activities and transportation necessary to move the client from place to place; other similar activities of daily living. Expenses billed to the client for the personal care services shown above must, at a minimum, specify the amount billed for each general group of services. Ongoing or one-time-only medical expenses are not projected. They must be used no earlier than actually incurred. Those persons who are billed for their care at intervals longer than monthly are to have the expenses used to meet spenddown on the date services are performed, not on the date billed. Such expenses are not incurred prior to receipt of services. 12. Unavailable intended for the client, but received by another person with whom he does not live, when the individual receiving this income refuses to make it available, is excluded. 13. Received For A Non- Group Member received by a member of the Group, which is intended and used for the care and maintenance of an individual, whose income is not used in determining the eligibility of the payee's AG, is excluded as income. 14. Received From Military Personnel Deployed to a Designated Combat Zone There is no provision for excluding income received as a result of service in a designated combat zone. 15. Belonging To or For the Benefit of a Child The source of the income must be known and Section 10.3 consulted for how the income is treated. 9/
WV INCOME MAINTENANCE MANUAL. Income
SSI-RELATED MEDICAID (Medically Needy, Optional) NOTE: Spenddown provisions apply. A. BUDGETING METHOD In addition to the information in Section 10.6, some Medically Needy cases may have other considerations,
More information10.22 SSI-RELATED MEDICAID (Medically Needy, Mandatory)
WV INOME HAPTER 10 - INOME 10.22 MAINTENANE MANUAL 10.22 SSI-RELATED MEDIAID (Medically Needy, Mandatory) NOTE: Spenddown provisions apply. A. BUDGETING METHOD In addition to the information in Section
More information10.23 SSI-RELATED/NON-CASH ASSISTANCE MEDICAID (Categorically Needy, Optional) The budgeting method in Section 10.6 is used for this coverage group.
SSI-RELATED/NON-CASH ASSISTANCE MEDICAID (Categorically Needy, Optional) NOTE: Spenddown provisions do not apply. A. BUDGETING METHOD The budgeting method in Section 10.6 is used for this coverage group.
More informationThe gross income test is passed. 5. Migrant Farm Laborers With Seasonal Employment
The gross income test is passed. 5. Migrant Farm Laborers With Seasonal Employment See item D,3. 6. Annual Contract Employment This section applies to any person employed under a yearly contract, such
More informationWV INCOME MAINTENANCE MANUAL. Income
- Death Benefits: The portion of a lump sum payment received as a result of the death of an individual, which is used to pay the expenses of the last illness and burial of that individual, is deducted.
More information10.11 MEDICAID FOR POVERTY-LEVEL PREGNANT WOMEN (Categorically Needy, Mandatory) A. INCOME DISREGARDS AND DEDUCTIONS
10.11 MEDICAID FOR POVERTY-LEVEL PREGNANT WOMEN (Categorically Needy, Mandatory) NOTE: The spenddown provision does not apply. NOTE: Deemed Poverty-Level Pregnant Women have no income test. See Chapter
More information5. Homeless Shelter Standard Deduction
NOTE: Child Support paid to a child support agency and retained by the agency is deducted, even when the individual who pays the support resides with the person to whom the payment would customarily be
More informationThe difference between the maximum SSI payment for one and two persons. An appropriation of one person's income diverted to another.
10.1 DEFINITIONS ALLOCATION STANDARD ALLOTMENT AMERICORPS ANNUITY BASIC NEEDS BONA FIDE LOAN The difference between the maximum SSI payment for one and two persons. An appropriation of one person's income
More information10.15 MEDICAID FOR DEEMED SSI RECIPIENTS (Categorically Needy, Mandatory)
MEDICAID FOR DEEMED SSI RECIPIENTS (Categorically Needy, Mandatory) NOTE: The spenddown provision does not apply. eligibility is determined by SSA or the BMS Buy-In Unit for the following coverage groups:
More informationThe transfer of resources policy does not apply to M-WIN. The income sources in Section 10.3 are treated the same as for SSI-Related Medicaid.
INCOME A. TRANSFERS OF INCOME The transfer of resources policy does not apply to M-WIN. B. INCOME SOURCES The income sources in Section 10.3 are treated the same as for SSI-Related Medicaid. C. BUDGETING
More informationALASKA TEMPORARY ASSISTANCE MANUAL CHAPTER CONTENTS 757 EXEMPT INCOME... JJ LOANS... JJ VOCATIONAL REHABILITATION PAYMENTS...
CHAPTER CONTENTS Section Page 757 EXEMPT INCOME... JJ-1 757-1 FOODSTUFFS AND FOOD STAMPS... JJ-1 757-2 PROPERTY ACT PAYMENTS... JJ-1 757-3 LOANS... JJ-2 757-4 WORK-STUDY EARNED INCOME... JJ-2 757-5 VOLUNTEER
More informationCOMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 09//07/2012
COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 09//07/2012 The following sections update Food Support and FS to Supplemental Nutrition Assistance Program (SNAP) and FSET to SNAP
More information(1) Effect of Rent Subsidies. (2) Residents of Group Living Facilities (GLF) b. Standard Utility Allowance (SUA)
- A car payment when the homeless AG lives in the vehicle 11/11 226 268 444 504 522 537 589-627 - Insurance on the vehicle itself when the homeless AG lives in the vehicle (1) Effect of Rent Subsidies
More informationALASKA TEMPORARY ASSISTANCE MANUAL CHAPTER CONTENTS 758 UNEARNED INCOME... KK IN-KIND INCOME AND VENDOR PAYMENTS... KK-2
CHAPTER CONTENTS Section Page 758 UNEARNED INCOME... KK-1 758-1 CHILD SUPPORT INCOME... KK-1 758-2 IN-KIND INCOME AND VENDOR PAYMENTS... KK-2 758-3 EDUCATION ASSISTANCE... KK-2 A. TITLE IV HIGHER EDUCATION
More informationState of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review 1400 Virginia Street Oak Hill, WV 25901
Joe Manchin III Governor State of West Virginia DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of Inspector General Board of Review 1400 Virginia Street Oak Hill, WV 25901 May 14, 2009 Martha Yeager Walker
More informationNURSING FACILITY SERVICES
ASSETS A nursing care client must meet the asset test for his eligibility coverage group. The asset level for those eligible by having income equal to or less than 300% of the monthly SSI payment for an
More information13. Unemployment Compensation Benefit Increase Exclusion
10. Census Add the determined amount to the current non-excluded income of the non-striking AG members. Eligibility and benefit level are determined as for any other AG and all appropriate deductions apply.
More informationA DFA-2, or Single-Streamlined Application (SLA) is used.
SSI-RELATED MEDICAID, AGED, BLIND AND DISABLED A. APPLICATION FORMS A DFA-2, or Single-Streamlined Application (SLA) is used. A reapplication is treated as any other application except in some situations
More informationCHAPTER 35. MEDICAL ASSISTANCE FOR ADULTS
CHAPTER 35. MEDICAL ASSISTANCE FOR ADULTS AND CHILDREN-ELIGIBILITY SUBCHAPTER 5.ELIGIBILITY AND COUNTABLE INCOME PART 5. COUNTABLE INCOME AND RESOURCES 317:35-5-42. Determination of countable income for
More information16.6 CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED. NOTE: No Categorically Needy coverage group is subject to a spenddown provision.
CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED NOTE: No Categorically Needy coverage group is subject to a spenddown provision. A. SSI RECIPIENTS (MSS) Income: SSI Payment Level Assets: $2,000
More informationALASKA FOOD STAMP MANUAL
602-3 INCOME Applicant households must report all gross income received and any income it anticipates receiving. All income from any source is countable unless specifically excluded. Income that is garnisheed
More informationFood Stamps... 1
Table of Contents Calculation of Benefits 2610.0000 Food Stamps... 1 2610.0100 BUDGETS AND TEST CALCULATIONS (FS)... 1 2610.0103 Budgets and Tests (FS)... 1 2610.0104.01 Income Tests (FS)... 1 2610.0104.02
More information16.6 CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED. NOTE: No Categorically Needy coverage group is subject to a spenddown provision.
CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED NOTE: No Categorically Needy coverage group is subject to a spenddown provision. A. SSI RECIPIENTS (MSS) Income: SSI Payment Level Assets: $2,000
More informationCHAPTER 7 - WV CHIP. Income: 200% FPL Assets: N/A No Spenddown Provision
PECIFIC WV CHIP REQUIREMENT The information is this ection parallels the information in Chapter 16, which contains the requirements specific to Medicaid. Item A describes the criteria for WV CHIP children.
More information16.6 CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED. NOTE: No Categorically Needy coverage group is subject to a spenddown provision.
CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED NOTE: No Categorically Needy coverage group is subject to a spenddown provision. A. SSI RECIPIENTS (MSS) Income: SSI Payment Level Assets: $2,000
More informationOAC 340: and OAC 340: Instructions to Staff are revised to clarify the handling of shelter and utility expenses.
POLICY TRANSMITTAL NO. 04-33 DATE: JUNE 1, 2004 FAMILY SUPPORT SERVICES DEPARTMENT OF HUMAN SERVICES DIVISION OFFICE OF PLANNING, POLICY & RESEARCH TO: SUBJECT: ALL OFFICES MANUAL MATERIAL OAC 340:50-7-30
More informationTHE MEDICALLY NEEDY SPENDDOWN PROGRAM: MEDICAID FOR ADULTS 65 AND OLDER
THE MEDICALLY NEEDY SPENDDOWN PROGRAM: MEDICAID FOR ADULTS 65 AND OLDER OR DISABLED WHO DON T GET SSI COLUMBIA LEGAL SERVICES JANUARY 2018 This information is accurate as of its date of revision. The rules
More informationWhat is the purpose of the Food Stamp Program? Where can I apply and get more information about the Food Stamp Program?
Utah Legal Services Committed to Equal Justice www.utahlegalservices.org Food Stamps What is the purpose of the Food Stamp Program? Food Stamps are issued through the Utah Horizon card, which acts as a
More informationCash Assistance Program for Immigrants page 9-1 Income
Cash Assistance Program for Immigrants page 9-1 9. is defined as anything received in cash or in-kind which can be used to meet the recipient s needs for food, clothing, and shelter. In-kind income is
More informationRETIREMENT BENEFITS... 34a. RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a. RICKY RAY FUNDS... 34a
TTT. UUU. VVV. RETIREMENT BENEFITS... 34a RETIREMENT, SURVIVORS, DISABILITY INSURANCE (RSDI)... 34a RICKY RAY FUNDS... 34a WWW. ROOMER/BOARDER PROVIDER INCOME... 35 XXX. ROYALTIES... 35 YYY. RURAL HOUSING
More informationChild In Care Definition of Income (CIC)... 1
Table of Contents Income 1850.0000 Child In Care... 1 1850.0001 Definition of Income (CIC)... 1 1850.0100 INCOME CONCEPTS (CIC)... 1 1850.0101 Earned and Unearned Income (CIC)... 1 1850.0102 Deductions
More informationWV INCOME MAINTENANCE MANUAL. Application/Redetermination Process
F. WHO MUST SIGN The individual(s) who is interviewed must sign the DFA-2. If the child(ren) lives with both parents or a parent and a stepparent, both must sign, even if separate interviews are conducted.
More informationFlexible Spending Account (FSA) Guide. Calendar Year 2017
Flexible Spending Account (FSA) Guide Calendar Year 2017 Your cafeteria plan is being administered by: ADP FSA Services Phone: (800) 654-6695 https://myspendingaccount.adp.com 1 HOW DOES A CAFETERIA PLAN
More informationSECTION: Page 1 of 12
SECTION: Page 1 of 12 NUMBER: Revision Level: 0 FORMULATED: TITLE: Medical Financial Assistance Program REVISED: APPROVAL: TITLE: Chief Financial Officer or Designee REVIEWED: SIGNATURE: This document
More informationWisconsin Long-Term Care Insurance Partnership Program Medicaid Training PART I
Wisconsin Long-Term Care Insurance Partnership Program Medicaid Training PART I The information contained in this training material is current as of June 2, 2008. 06/02/2008 DHFS/DHCAA/BEM Training - Part
More informationMAKING THE MOST OF BENEFITS. Important eligibility information, income considerations, & deductions for Vermonters
MAKING THE MOST OF BENEFITS Important eligibility information, income considerations, & deductions for Vermonters ELIGIBILITY Household Size Gross Monthly Income Limit 1 $1,832 3SQUARESVT GROSS MONTHLY
More informationThis item applies only to Food Assistance Program (FAP). Dependent care expense. Dependent care expense. Excess shelter.
BEM 554 1 of 32 DEPARTMENT POLICY This item applies only to Food Assistance Program (FAP). Bridges uses certain expenses to determine net income for FAP eligibility and benefit levels. For groups with
More informationBEM of 12 POST-ELIGIBILITY PATIENT-PAY AMOUNTS
BEM 546 1 of 12 POST-ELIGIBILITY PATIENT-PAY AMOUNTS DEPARTMENT POLICY MA Only Use this item to determine post-eligibility patient-pay amounts. A post-eligibility patient-pay amount is the L/H patient
More informationThis section contains the eligibility requirements for both Regular and Emergency LIEAP, as well as other information about the LIEAP benefit.
ELIGIBILITY REQUIREMENTS This section contains the eligibility requirements for both Regular and Emergency LIEAP, as well as other information about the LIEAP benefit. A. REGULAR LIEAP Eligibility for
More informationChapter 5. Eligibility Determination Process. This chapter covers the eligibility process pertaining to HCRA. It covers the following in detail:
Chapter 5 Eligibility Determination Process This chapter covers the eligibility process pertaining to HCRA. It covers the following in detail: A. The documents that are to be provided and used to verify
More information20. Unrelated Adult Male
CalWORKs Handbook page 20-1 20. 20.1 Definitions [43-109.2] 20.1.1 (UAM) Regulations and procedures regarding the unrelated adult male (UAM) apply only to the UAM who is not a roomer, boarder or lodger
More informationNOTE: No Categorically Needy coverage group is subject to a spenddown provision. Income: SSI Payment Level Assets: $2,000 Individual $3,000 Couple
16.6 CATEGORICALLY NEEDY, MANDATORY - FOR AGED, BLIND OR DISABLED NOTE: No Categorically Needy coverage group is subject to a spenddown provision. A. SSI RECIPIENTS (MSS) Income: SSI Payment Level Assets:
More informationWV INCOME CHAPTER 10 - INCOME 10.4 MAINTENANCE MANUAL
10.4 FOOD STAMP PROGRAM A. BUDGETING METHOD Eligibility is determined and benefits are issued on a monthly basis. Therefore, it is necessary to determine a monthly amount of income to count for the eligibility
More informationUnderstanding IRWEs. June 2013
Understanding IRWEs June 2013 1 Impairment Related Work Expenses Effective December 1, 1980 the cost of certain items and services that a person with a disability needs in order to work can be deducted
More informationINSTRUCTIONS FOR 2017 PIT-RC NEW MEXICO REBATE AND CREDIT SCHEDULE
INSTRUCTIONS FOR 2017 PIT-RC NEW MEXICO REBATE AND CREDIT SCHEDULE GENERAL INFORMATION You can find general information about Form PIT RC, New Mexico Rebate and Credit Schedule, on this page and the next
More informationCurrent Income: Income of an applicant s family during the thirty (30) days prior to application.
POLICY: Applicants for WIC benefits will be considered economically eligible if their total income is no higher than one-hundred eighty-five (185) percent of the poverty income guidelines. The State Agency
More informationChapter 2 ELIGIBILITY & DOCUMENTATION
Chapter 2 ELIGIBILITY & DOCUMENTATION Clients must meet certain eligibility criteria to receive Ryan White Funds. Clients must: 1. Be HIV seropositive 2. Meet low-income requirements 3. Have no insurance
More informationIndependent Verification Worksheet
2017-2018 Independent Verification Worksheet Complete and return this form with the required documentation to: Office of Financial Aid and Scholarships Phone: 949-824-8262 102 Aldrich Hall Fax: 949-824-4876
More informationWV INCOME MAINTENANCE MANUAL
Parent C: February 20th $300.00 January 20th $300.00 December 20th $300.00 The Worker finds the average monthly payment made by Parent A and projects the income to continue. The Worker and the client cannot
More informationFour Purposes of TANF
Four Purposes of TANF 1. Provide assistance to needy families so that children may be cared for in their own homes or in the homes of relatives; 2. End the dependence of needy parents on government benefits
More informationUsing Aid & Attendance to Pay any Person for Home Care
Using Aid & Attendance to Pay any Person for Home Care Most people who have heard about Pension know that it will cover the costs of assisted living and, in some cases, cover nursing home costs as well.
More informationOklahoma Health Care Authority
Oklahoma Health Care Authority The Oklahoma Health Care Authority (OHCA) values your feedback and input. It is very important that you provide your comments regarding the proposed rule change by the comment
More informationDependent Verification Worksheet
2017-2018 Dependent Verification Worksheet Complete and return this form with the required documentation to: Office of Financial Aid and Scholarships Phone: 949-824-8262 102 Aldrich Hall Fax: 949-824-4876
More informationTABLE OF CONTENTS TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) GUIDANCE MANUAL
TANF MANUAL 7/11 TABLE OF CONTENTS TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) GUIDANCE MANUAL Chapter 800 - Diversionary Assistance Program Purpose 801.1 Screening 801.2 Voluntary 801.3 Eligibility
More informationMedicaid Eligibility Factors in 2014
Medicaid Eligibility Factors in 2014 Countdown to Coverage Webinar Series Medicaid 101 July 3, 2013 Karin Kramer Eligibility, Policy and Service Delivery Purpose and Objectives Purpose: This presentation
More informationCHAPTER 2 - THE CASE MAINTENANCE PROCESS
MEDICAID Individuals who receive Medicaid experience the same kinds of changes between application and redetermination and between redeterminations as individuals who receive Food Stamps and WV WORKS.
More informationModel Policy for Defining Indigent for Purposes of Burial at Township s Expense
Model Policy for Defining Indigent for Purposes of Burial at Township s Expense Generally: The purpose of this policy is to ensure compliance with Ohio Revised Code 9.15(C) which mandates that a township
More informationFrequently Asked Questions on FDIPR Household Eligibility. Topics
Frequently Asked Questions on FDIPR Household Eligibility Topics Who Can Participate in FDPIR Page 1 Application Processing Page 1 Household Composition Page 2 Indian Tribal Household Status Page 3 Determining
More informationWV INCOME MAINTENANCE MANUAL. Assets
INTRODUCTION This Chapter contains the policies for determining asset eligibility for SNAP benefits, WV WORKS, AFDC-Related Medicaid and most other Medicaid coverage groups. Instructions for determining
More informationPH and HCVP Advanced Rent Calculations
PH and HCVP Advanced Rent Calculations Complex (and new) Income and Rent Calculation Issues Presented by Vicki Brower 2018 The Nelrod Company, Ft. Worth, Texas 76109 Topics Definition of Annual Income
More informationSPECIAL NEEDS TRUSTS IN OREGON West Coast Trust Meeting June 9, 2006 Penny L. Davis, The Elder Law Firm Portland, Oregon
SPECIAL NEEDS TRUSTS IN OREGON West Coast Trust Meeting June 9, 2006 Penny L. Davis, The Elder Law Firm Portland, Oregon I INTRODUCTION A. Government Benefits. Many people with disabilities rely upon government
More informationNew Mexico Register / Volume XVII, Number 2 / January 31, 2006
TITLE 8 SOCIAL SERVICES CHAPTER 248 MEDICAID ELIGIBILITY - MEDICARE DRUG COVERAGE (CATEGORY 048) PART 500 INCOME AND RESOURCE STANDARDS 8.248.500.1 ISSUING AGENCY: New Mexico Human Services Department.
More informationWV INCOME MAINTENANCE MANUAL. Assets
INTRODUCTION This Chapter contains the policies for determining asset eligibility for Food Stamp benefits, WV WORKS, AFDC Medicaid and most other Medicaid coverage groups. Instructions for determining
More information16.5 CATEGORICALLY NEEDY, MANDATORY - FOR FAMILIES AND/OR CHILDREN. NOTE: No Categorically Needy coverage group is subject to a spenddown provision.
CATEGORICALLY NEEDY, MANDATORY - FOR FAMILIES AND/OR CHILDREN NOTE: No Categorically Needy coverage group is subject to a spenddown provision. A. AFDC MEDICAID RECIPIENTS (MAAR, MAAU) Income: 185% Need
More informationFood Stamps... 1
Table of Contents Budgeting Income 2410.0000 Food Stamps... 1 2410.0100 INCOME LIMITS (FS)... 1 2410.0200 BUDGETING (FS)... 1 2410.0201 Prospective Budgeting (FS)... 1 2410.0202 Uncertain Income (FS)...
More informationRULES OF TENNESSEE DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL SERVICES CHAPTER COVERAGE GROUPS UNDER MEDICAID TABLE OF CONTENTS
RULES OF TENNESSEE DEPARTMENT OF HUMAN SERVICES DIVISION OF MEDICAL SERVICES CHAPTER 1240-03-02 COVERAGE GROUPS UNDER MEDICAID TABLE OF CONTENTS 1240-03-02-.01 Necessity and Function 1240-03-02-.04 Enrollment
More informationABD IN-KIND SUPPORT AND MAINTENANCE LIVING ARRANGEMENT AND IN-KIND SUPPORT AND MAINTENANCE FOR ABD MEDICAID
2430 - LIVING ARRANGEMENT AND IN-KIND SUPPORT AND MAINTENANCE FOR ABD MEDICAID POLICY STATEMENT BASIC CONSIDERATIONS In-kind support and maintenance (ISM) is considered as unearned income when establishing
More informationJanuary 22, Enclosed is a copy of the decision resulting from the hearing held in the above-referenced matter.
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF INSPECTOR GENERAL Jim Justice BOARD OF REVIEW Bill J. Crouch Governor 416 Adams St. Cabinet Secretary Suite 307 Fairmont, WV 26554
More informationProvided by Beck Estate Planning & Elder Law, LLC. Medicaid Benefits
Provided by Beck Estate Planning & Elder Law, LLC Medicaid Benefits Both the federal and state governments fund Medicaid the medical services assistance program for low-income individuals. In Missouri,
More information3.400 AID TO THE NEEDY DISABLED (AND) AND AID TO THE BLIND (AB) PROGRAM DEFINITIONS AND REQUIREMENTS
DEPARTMENT OF HUMAN SERVICES Income Maintenance (Volume 3) AID TO THE NEEDY DISABLED AND AID TO THE BLIND 9 CCR 2503-4 [Editor s Notes follow the text of the rules at the end of this CCR Document.] 3.400
More information1 of 14 8/10/ :45 PM
1 of 14 8/10/2016 11:45 PM Publication 503 - Main Content Table of Contents Tests To Claim the Credit Qualifying Person Test Earned Income Test Work-Related Expense Test Joint Return Test Provider Identification
More informationFamily Related Medicaid In-Service Training
Family Related Medicaid In-Service Training September 2013 The information contained in this document is current as of September 20, 2013 1 Kaiser Video on Healthcare Reform The animated movie you are
More informationLegal Planning for the Expected and Unexpected Events in Life
Legal Planning for the Expected and Unexpected Events in Life Patricia J. Schraff John P. Thomas Schraff & King Co., LPA 2802 SOM Center Rd., Suite 200 Willoughby Hills, Ohio 44094 440-585-1600 Tools in
More information37. SCOTT COUNTY GENERAL ASSISTANCE GUIDELINES
37. SCOTT COUNTY GENERAL ASSISTANCE GUIDELINES General Assistance is available through the Community Services Department to families and individuals who are poor or in need, when such persons are not supported
More informationMMW Meeting Recap Webinar June 21, 2013
MMW Meeting Recap Webinar June 21, 2013 Speakers Georgia Gerdes, AgeOptions Medicare DMEPOS Competitive Bidding Program John Coburn, Health & Disability Advocates Countable Income for SSI, Medicare Extra
More informationIncome Tax Guide and Client Organizer
Income Tax Guide and Client Organizer Income Tax Guide and Client Organizer Tax Year For My income tax appointment is: date day of week time PROVIDED BY: This booklet is provided to assist you in assembling
More informationThe Federal Supplemental Nutrition Assistance Program (SNAP) Introduction. Filing FS Application
The Federal Supplemental Nutrition Assistance Program (SNAP) Barbara Weiner Empire Justice Center 119 Washington Ave. Albany, New York 12210 bweiner@empirejustice.org (518) 462-6831 Introduction FSP renamed
More informationWHEN DOES MEDICAID PAY FOR LONG-TERM CARE?
WHEN DOES MEDICAID PAY FOR LONG-TERM CARE? Revised July 2016 Authored 2/04 by James W. (Jay) Speer, Attorney at Law Revised 7/16 by Kathy Pryor, Attorney at Law Virginia Poverty Law Center 919 E. Main
More information19.10 TRANSPORTATION REMUNERATION INCENTIVE PROGRAM
19.10 TRANSPORTATION REMUNERATION INCENTIVE PROGRAM A. Introduction The Transportation Remuneration Incentive Program (TRIP) is designed to recognize the unique transportation needs of low-income aged
More informationDependent Verification Worksheet
2016-2017 Dependent Verification Worksheet Complete and return this form with the required documentation to: Office of Financial Aid and Scholarships 102 Aldrich Hall Irvine, CA 92697-2825 Phone: 949-824-8262
More informationEstate & Financial Planning Questionnaire
Estate & Financial Planning Questionnaire Date: Person supplying answers to these questions: Other (Relationship: ) If Other:Name Address Phone--Day: Night: Mobile: Fax: Name: (First, Middle & Last) Date
More informationSupplemental Security Income (SSI): Income/Resource Limits and Accounts Exempt from Benefit Determinations
Supplemental Security Income (SSI): Income/Resource Limits and Accounts Exempt from Benefit Determinations Umar Moulta-Ali Analyst in Disability Policy January 25, 2013 CRS Report for Congress Prepared
More informationCumulative Questions and Answers on Certification and Work Issues in PRWORA
Cumulative Questions and Answers on Certification and Work Issues in PRWORA Current as of April 24, 1998 This guidance was provided by the Food and Nutrition Service (FNS) National office to FNS Regional
More informationNew York Makes Work Pay
1 New York Makes Work Pay Title: 1619b (Best Kept Secret) Presenter: Edwin J. Lopez-Soto New York Makes Work Pay is a Comprehensive Employment System Medicaid Infrastructure Grant (Contract No. #1QACMS030318)
More informationMedical Assistance Program Chart (Excluding Long-Term Care)
PROGRAM NAME POPULATION SERVED INCOME & RESOURCES DISABILITY, LEVEL OF CARE and OTHER REQUIREMENTS AGED, BLIND, AND DISABLED (ABD) SSI Mandatory Individuals with disabilities of any age Income and resource
More informationFiguring your Taxes and Credits
Figuring your Taxes and Credits This self-study explains how to figure your tax and how to figure the tax of certain children who have more than $2,100 of unearned income. Also discussed are various tax
More informationIf you have any questions prior to mailing or bringing your application in, please feel free to contact our department at
NJ Hospital Care Assistance Program(NJHCAPS) NJ Hospital Care Assistance Program (formerly known as Charity Care) is available to every patient regardless of whether they are insured or not. Each patient
More informationWho is Eligible for Veterans Affairs Basic Pension and Aid and Attendance?
Updated 1/4/17 Veterans Affairs Aid and Attendance Benefits FACT SHEET CANHR is a private, nonprofit 501(c)(3) organization dedicated to improving the quality of care and the quality of life for long term
More informationDEPARTMENT POLICY. MA Only
BEM 541 1 of 7 DEPARTMENT POLICY MA Only This item applies to SSI-related MA for adults. Adult means a person who is married or age 18 or over. Apply the deductions in the order listed to countable income
More informationLaw School Student Verification Worksheet
2014-2015 Law School Student Verification Worksheet Complete and return this form with the required documentation to: University of California, Irvine (949)824-8080 School of Law (949)824-5848 (fax) Office
More informationSpecial Needs Lawyers, PA
Special Needs Lawyers, PA 901 Chestnut Street, Suite C Clearwater, Florida 33756 Phone: (727) 443-7898 Fax: (727) 631-0970 SpecialNeedsLawyers.com Travis D. Finchum, Esq. Board Certified in Elder Law Linda
More informationQUESTIONS AND ANSWERS ON THE COPES PROGRAM
QUESTIONS AND ANSWERS ON THE COPES PROGRAM COLUMBIA LEGAL SERVICES JANUARY 2008 THIS PAMPHLET IS ACCURATE AS OF ITS DATE OF REVISION. THE RULES CHANGE FREQUENTLY. 1. What is COPES? COPES is a program that
More informationUnderstanding In-Kind Support and Maintenance (ISM)
Understanding In-Kind Support and Maintenance (ISM) January 2017 What is In-Kind Support and Maintenance (ISM)? Basically, in-kind support and maintenance (also known as ISM) is unearned income attributable
More informationSection 125 Flexible Benefit Plan
PLACER COUNTY OFFICE OF EDUCATION Section 125 Flexible Benefit Plan 2009-2010 Plan Year Frequently Asked Questions & Answers and 125 Plan Summary of Reimbursement Account Arrangement 800-248-8858, Ext.
More informationBenefits Planning, Assistance and Outreach Chapter 18
Chapter 18 Using SSI as the Conduit to Automatic Medicaid Eligibility In most states, Medicaid eligibility is automatic for SSI recipients. SSI recipients automatically qualify for Medicaid in 39 states
More informationSummary Generally, the goal of disability insurance is to replace a portion of a worker s income should illness or disability prevent him or her from
: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) Scott Szymendera Analyst in Disability Policy May 21, 2009 Congressional Research Service CRS Report for Congress Prepared
More informationFlexible Spending Account Election of Reimbursement & Compensation Reduction Agreement
Flexible Spending Account Election of Reimbursement & Compensation Reduction Agreement Medical/Dental Expenses Dependent Care Expenses When you elect a TPA for your University Health Care Plan, that TPA
More informationArticle 8 Eligibility and Payment Manual. Part III Adult Assistance Programs
Article 8 Eligibility and Payment Manual Part III Adult Assistance Programs 1831. Introduction. 1832. Eligibility Requirements - OAA, AB, APTD. 1833. Old Age Assistance Program. 1831. Introduction. The
More informationFinancial Benefits. In This Section You Will Find Information On:
Financial Benefits In This Section You Will Find Information On: Money Management Tips Cash Assistance - Temporary Assistance for Needy Families (TANF) Earned Income Tax Credit (EITC) Social Security (OASDI)
More informationELIGIBILITY FOR RELIEF AND RULES FOR THE PROVISION OF RELIEF TO CLARKE COUNTY RESIDENTS
The following words and phrases when used in this chapter shall have the following meanings: ORDINANCE #21 ELIGIBILITY FOR RELIEF AND RULES FOR THE PROVISION OF RELIEF TO CLARKE COUNTY RESIDENTS 1. Purpose
More information